Wakefield, Richard

Wakefield, Richard is an sole proprietor health care provider with primary practice located at 2514 S Washington St , Grand Forks ND 58201-6776. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Wakefield, Richard can be contacted via phone (701) 746-7000.

Contact Information

Primary practice address
2514 S Washington St Grand Forks ND 58201-6776
Phone: (701) 746-7000
Fax: (701) 746-5220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X H-0063 North Dakota

Profile Details

NPI number 1568638294
LBN Legal business name Wakefield, Richard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2008
Last updated May 2nd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568638294 NPPES
Minnesota Other 7G771WA BLUE CROSS & BLUE SHIELD
Minnesota MEDICAID 57635 BLUE CROSS & BLUE SHIELD
Minnesota MEDICAID 548065500 BLUE CROSS & BLUE SHIELD
Minnesota Other 24303 BLUE CROSS & BLUE SHIELD

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